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For Providers

For Help With… Your Solution
  • Requesting Member Eligibility Data Match information 

Have your Medicaid ID Number ready when you call! 

Submit an online Eligibility Data Match Request form.  
  • Reporting a Coordinate Care Organization (CCO)/Managed Care Organization (MCO) issue 

Submit a Managed Care Provider Issue Form. 
  • Eligibility  
  • Verifying Benefits or Claims 
  • Status of Benefits 
  • Prior Authorization 

Call Gainwell Technologies for assistance at: 1-800-884-3222.  

You can access the Voice Response Quick Reference guide here. 

Or visit your Mesa Provider Portal, here. 
Contacting partnered Coordinated Care Organization (CCO) Medicaid benefit administrators.  

Visit online or call your CCO:  
Requesting your claims or lien information  Submit a Subrogation Request Form 
Providing other insurance coverage (Third-Party) information  Submit an Insurance Update Form 
Additional information for contact and guidelines  Visit our Provider Resources page or Late Break News for the latest updates.  
Posted byMatt Westerfield
August 4, 2025
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